| CASE NUMBER | I-200-24086-831283 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/26/2024 |
| DECISION DATE | 4/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Hospitalist |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2024 |
| END DATE | 6/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | UPMC Susquehanna Physician Services |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 600 Grant Street, US Steel Tower |
| EMPLOYER ADDRESS2 | Floor 57 |
| EMPLOYER CITY | Pittsburgh |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15219 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14126478243 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Stevenson |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC MIDDLE NAME | C |
| EMPLOYER POC JOB TITLE | Senior Associate Counsel |
| EMPLOYER POC ADDRESS1 | 600 Grant Street, US Steel Tower |
| EMPLOYER POC ADDRESS2 | Floor 57 |
| EMPLOYER POC CITY | Pittsburgh |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15219 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14126478243 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | foisterjt@upmc.edu |
| AGENT REPRESENTING EMPLOYER | No |
| AGENT ATTORNEY LAST NAME | |
| AGENT ATTORNEY FIRST NAME | |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | |
| AGENT ATTORNEY COUNTRY | |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | |
| LAWFIRM NAME BUSINESS NAME | |
| STATE OF HIGHEST COURT | |
| NAME OF HIGHEST STATE COURT | |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 700 High Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Williamsport |
| WORKSITE COUNTY | LYCOMING |
| WORKSITE STATE | PA |
| WORKSITE POSTAL CODE | 17701 |
| WAGE RATE OF PAY FROM | 315000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $139,381.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Foister |
| PREPARER FIRST NAME | Jack |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | UPMC Presbyterian Shadyside |
| PREPARER EMAIL | foisterjt@upmc.edu |
| BEGIN DATE CONVERTED | 2024-01-07 |
